Hydrocele surrounding a testis

Hydrocele surrounding a testis

Definition:

A hydrocele is a fluid-filled sac surrounding a testicle or testicles that causes swelling in the scrotum. Hydrocele is commonly seen in newborns and usually disappears without treatment during the first year of life. Older boys and adult men can develop a hydrocele due to inflammation or injury within the scrotum. This often produces an enlargement of the scrotum making it difficult to feel the testis. The size of the scrotal sac is often uncomfortable although the presence of the hydrocele causes little, if amy pain. Men usually seek consultation for evaluation of this enlargement which is easily diagnosed by ultrasound.

Pre-operative Preparation:

  1. For any elective surgery you should be in the best of health. It is important to let my office know if you have any other health problems which might necessitate consultation with an internist prior to your surgery.
  2. Avoid aspirin and aspirin products for a week before your surgery.

Hospitalization:

  1. You will normally be operated on as an out-patient at an Ambulatory Surgical Center. The week before surgery you will be asked to report to the Ambulatory Surgical Center at which time a medical history, complete examination and necessary laboratory tests will be performed.
  2. On the day of your surgery, you will be asked to report to the Ambulatory Surgical Center at least one hour before surgery and must be accompanied by someone capable of driving you home. You will not have eaten nor drunk anything since dinner the night before. I will meet with you during the hour prior to surgery to examine you and answer any questions.
  3. Your procedure will take about 45 minutes. The procedure is performed under either a general or a spinal anesthetic, both of which are extremely safe and effective.
  4. You will remain in the recovery room for a minimum of one hour and as long as you need until you feel comfortably alert for travel.

Post-Operative Care

  1. A small amount of bright red blood is to be expected. DO NOT be alarmed if you feel that the amount is excessive–call my office.
  2. At the time of discharge from the Ambulatory Surgical Center you will have been given prescriptions for pain medication and, occasionally, antibiotics. When taking pain medication, be careful as you walk or climb stairs. Dizziness is not unusual.
  3. Do not drive the first week after the surgery, but you can ride in a car if someone else is driving.
  4. The scrotal supporter and any gauze stuffing inside may be removed 48 hours after surgery, before you shower. Keep the dressing dry until then. You may shower 48 hours after the surgery. After showering apply an antibiotic ointment (bacitracin or neomycin) to the incision line 2x/day.
  5. Swelling and black and blue are normal. Both will resolve in 3-4 weeks.
  6. If your job involves only desk work and very light activity, you may return 2 or 3 days after the surgery. It is likely that you will have some discomfort for 3-6 weeks after surgery.
  7. No heavy work or sports are allowed for 3 weeks post-operatively.
  8. No sexual intercourse is allowed for 1 week post-operatively.
  9. You will need to wear an athletic supporter (jock strap) for 1 week post-operatively.
  10. You may resume normal activities as you feel up to it.
  11. There are no stitches that need to be removed. All stitches used will usually dissolve with 2 weeks.
  12. Please make an appointment to see me back in follow up in two weeks.

 

If you would like more information please contact:

Bruce R.Gilbert, M.D., Ph.D. at 516-487-2700 or info@BruceGilbertMD.com